What are the 4 goals of wound care?
1. Minimize the consequences (prevent loss of life/limb)
2. Optimize wound healing (prevent infection, cost efficiency)
3. Minimize scar formation
4. Restore function
What is a good history question to ask when a horse comes in with a wound/laceration?
Is the animal current on tetanus vaccines?
What 3 things should be done when examining a wound?
1. Restraint, sedation
2. Wear gloves
3. Control hemorrhage by compression
What things should be assessed in a wound?
1. Tissue trauma
2. vascular supply
3. Involvement of other structures (synovial, nerve, tendon/ligament)
Equines often come in with very _____ wounds.
Equines have a ____ inflammatory response. What are consequences of this?
May predispose to infection; soil decreases WBC effectiveness
Ponies heal _____ than horses.
What part of the equine body has delayed healing?
Wounds on limbs (distal)
What is proud flesh?
Exuberant granulation tissue
What might you need to do prior to lavage or treatment of a wound?
block (lidocaine, mepivicaine), sedate
How do you properly use a local nerve block?
SQ, stay away from laceration edges, upside down "V" or "U"
What are 3 types of debridement that can be used?
What can be used for sharp debridement?
What can be used for mechanical debridement?
Lavage 10-15 psi, wet to dry bandages
What needle/syringe do we want to use for mechanical lavage/debridement?
19 ga needle on 35 ml syringe
What can we use for biological debridement?
Fly larvae (maggots) sterile, medical grade
What are the 4 categories of wound closure?
2. Delayed primary
4. Second-intention healing
What closure category does first-intention healing?
What closure category does third-intention healing?
What is primary closure?
Immediate closure of viable tissue.
What do you use in primary closure and what is the "golden period"?
Suture; 6 hours
With what types of wounds would you do primary closure?
Clean and clean-contaminated
Primary closure has the best _____ result and _____ healing.
How long after wound occurrence is delayed primary closure done?
Delayed primary closure is done before the appearance of _____.
What are the initial steps in delayed primary closure?
Open wound management, optimize health, decrease contamination
How long after wound occurrence would you do secondary closure?
Secondary wound closure is done after apprearance of _____.
What type of wounds are involved in secondary closure?
contaminated or dirty wounds
What do you want to do with granulation tissue and skin edges prior to secondary closure?